Active NPI
Kashina Annette Simms, LCSW
- Clinical Social Worker
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007282
- Practice address
- 1015 Eden Way N Ste B
Chesapeake, VA 23320-2787 - Phone
- (757) 609-2726
- NPI assigned
- Dec 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 109509 | TX | |
| Clinical Social Worker | 1041C0700X | 0904007282 | VA | Primary |
Addresses
Primary practice location
1015 Eden Way N Ste B
Chesapeake, VA 23320-2787
Mailing address
732 Eden Way N Ste E-507
Chesapeake, VA 23320-2798
Phone (757) 676-2607
Other practice location 1
1418 Gomer Ln
Harker Heights, TX 76548-6003
Phone (757) 609-2726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1015 Eden Way N
Suite B
Chesapeake, VA 23320-2787
Phone (757) 609-2726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109509 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerment Counseling Center LLC | Clinical | Current | Accepting new patients |
Locations
1015 Eden Way N
Ste B
Chesapeake, VA 23320
Phone (757) 609-2726
732 Eden Way N
Ste E507
Chesapeake, VA 23320
Phone (757) 412-7840
413 Mount Cross Rd
Ste 106
Danville, VA 24540
Phone (252) 258-4783
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1730418872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 EDEN WAY N STE E-507",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202798",
"telephone_number": "757-676-2607",
"fax_number": "757-609-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 EDEN WAY N STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202787",
"telephone_number": "757-609-2726"
}
],
"practiceLocations": [
{
"address_1": "1418 Gomer Ln",
"address_purpose": "LOCATION",
"city": "Harker Heights",
"state": "TX",
"postal_code": "765486003",
"country_code": "US",
"telephone_number": "757-609-2726",
"fax_number": "757-609-2874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMS",
"first_name": "KASHINA",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "109509",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Corey Dominique Simmons
- Darian Keith Simmons, DDS
- Robert A Simmons, D.D.S., M.A.G.D.
- Susan Allison Simmons, NURSE PRACTITIONER
- Taquisa Katina Simmons, LCSW, CSAC
- Ruchita Sebastian Simoes, M.D.
- Marissa Nicole Simon, DNP, CRNA
- Simple Accommodations LLC
- Simply Grace Healthcare Services LLC
- Simplycare Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.